Individual
JONATHAN THOMAS SUTTLES
Active
Individual
JONATHAN THOMAS SUTTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006580
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162229
LABOR & INDUSTRIES
WA
05
—
8344749
—
WA
01
—
98725SU
REGENCE BLUE SHIELD
WA
Enumeration date
03/26/2007
Last updated
05/13/2020
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